Frequently Asked Questions
Straightforward answers to common Medicare, life insurance and health insurance questions.
Medicare FAQs
When and how do I enroll?
Your Medicare enrollment timing depends on your circumstances. Many people first enroll around age 65, while people with qualifying current-employment coverage may have other enrollment opportunities.
When can I change my Medicare coverage?
Different enrollment periods apply depending on your current coverage and circumstances. Annual, Open and Special Enrollment Period rules differ.
What if I continue to work past age 65?
You may be able to delay certain parts of Medicare without penalty if you have qualifying current-employment coverage. Employer size and coverage type can matter.
Can I have Medicare Advantage and Medigap at the same time?
No. Medigap is designed to work with Original Medicare, not Medicare Advantage.
Is Medicare Supplement the same as Medicare Advantage?
No. Medigap supplements Original Medicare. Medicare Advantage is another way to receive Medicare Part A and Part B benefits through a private Medicare-approved plan.
Does Medicare cover all of my medical and prescription expenses?
No. Medicare has deductibles, copays, coinsurance and coverage limitations. Prescription coverage is generally obtained through Part D or many Medicare Advantage plans.
What is Part D?
Part D is Medicare prescription drug coverage offered through Medicare-approved private insurance companies.
Does every Part D plan cover the same prescriptions?
No. Each plan has its own formulary, tiers and pharmacy network.
Do I need Part D if I don't take prescriptions?
Going without Part D or other creditable drug coverage for too long may result in a late-enrollment penalty later. Your individual situation matters.
Life Insurance FAQs
How much life insurance do I need?
The amount depends on your income, debts, dependents, savings, future goals and how long you want protection to last.
Is my job coverage enough?
Employer coverage can be valuable, but it may be limited and may not follow you if you leave the job. Individual coverage can provide additional protection.
Is life insurance too expensive?
Cost varies by age, health, coverage amount, policy type, term and insurer. Term insurance often has a lower initial premium than permanent insurance.
What’s the difference between term and permanent policies?
Term insurance covers a specified period. Permanent insurance is designed for long-term coverage and may include cash value, depending on the policy.
Do I need a medical exam?
It depends on the insurer, product, coverage amount and your eligibility. Some policies use simplified or accelerated underwriting.
Does term life insurance build cash value?
Generally, no. Traditional term life insurance is primarily death-benefit protection for a specified period.
What happens when my term ends?
Coverage may end, renew at a higher premium, or offer conversion options depending on the policy.
Is the life insurance death benefit taxable?
Life insurance death benefits are generally received by beneficiaries free of federal income tax, but exceptions can apply. Consult a qualified tax professional about your situation.
Health Insurance FAQs
What is health insurance?
Health insurance helps pay eligible healthcare expenses according to the plan’s benefits, cost-sharing rules, network and exclusions.
How do I know which health insurance plan is right for me?
Compare premiums, deductibles, provider networks, prescriptions, expected healthcare use and maximum out-of-pocket costs.
What is a health insurance deductible?
A deductible is the amount you generally pay for covered services before the plan begins paying certain benefits, subject to plan rules.
What’s the difference between a copay and coinsurance?
A copay is typically a fixed dollar amount. Coinsurance is typically a percentage of the allowed cost for a covered service.
Can I get health insurance if I have a pre-existing condition?
ACA-compliant major medical plans generally cannot deny coverage or charge more because of a pre-existing condition. Other types of coverage can have different rules.
What events could qualify me for a Special Enrollment Period?
Examples may include loss of qualifying coverage, marriage, birth or adoption, and certain moves or household changes. Eligibility depends on the specific event and timing.
What’s the difference between an HMO and a PPO?
HMOs generally use a more structured provider network and may require referrals. PPOs generally offer more flexibility to use out-of-network providers, often at a higher cost.
